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正常胎儿骶骨模拟脊柱裂:“假性脊柱裂”

Normal fetal sacrum simulating spina bifida: "pseudodysraphism".

作者信息

Dennis M A, Drose J A, Pretorius D H, Manco-Johnson M L

出版信息

Radiology. 1985 Jun;155(3):751-4. doi: 10.1148/radiology.155.3.3890002.

DOI:10.1148/radiology.155.3.3890002
PMID:3890002
Abstract

An erroneous diagnosis of spina bifida may be made using obstetric ultrasound (US) if the examiner is unfamiliar with normal fetal sacral anatomy or the ways in which artifacts can affect the appearance of the normal lumbosacral posterior elements. Two normal neonates who appeared to have sacral dysraphism in utero are described and compared with US and CT studies of an anatomically normal 34-week cadaver specimen. In the event of transducer angulation, lumbosacral spina bifida must be diagnosed with the utmost caution if an associated sac or mass is not present.

摘要

如果检查者不熟悉正常胎儿骶骨解剖结构或伪像影响正常腰骶部后部结构外观的方式,使用产科超声(US)可能会对脊柱裂做出错误诊断。本文描述了两名在子宫内看似有骶骨发育不良的正常新生儿,并将其与一具34周解剖学正常的尸体标本的超声和CT研究结果进行了比较。如果存在换能器角度问题,在没有相关囊肿或肿块的情况下,诊断腰骶部脊柱裂必须极其谨慎。

相似文献

1
Normal fetal sacrum simulating spina bifida: "pseudodysraphism".正常胎儿骶骨模拟脊柱裂:“假性脊柱裂”
Radiology. 1985 Jun;155(3):751-4. doi: 10.1148/radiology.155.3.3890002.
2
Abnormalities of fetal cranial contour in sonographic detection of spina bifida: evaluation of the "lemon" sign.超声检测脊柱裂时胎儿颅骨轮廓异常:“柠檬”征的评估
Radiology. 1988 May;167(2):387-92. doi: 10.1148/radiology.167.2.3282259.
3
Prenatal ultrasonographic diagnosis of spina bifida: timing of examination.脊柱裂的产前超声诊断:检查时机
J Can Assoc Radiol. 1982 Dec;33(4):276-8.
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Ultrasound evaluation of the normal and abnormal fetal neural axis.正常和异常胎儿神经轴的超声评估
Radiol Clin North Am. 1982 Jun;20(2):285-96.
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Lumbosacral transitional vertebra associated with sacral spina bifida occulta: a case report.腰骶部移行椎合并隐性骶椎裂:一例报告
Acta Medica (Hradec Kralove). 2013;56(3):126-9. doi: 10.14712/18059694.2014.21.
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Prenatal diagnosis of open and closed spina bifida.开放性和闭合性脊柱裂的产前诊断
Ultrasound Obstet Gynecol. 2006 Dec;28(7):899-903. doi: 10.1002/uog.3865.
7
Early diagnosis of spina bifida: the value of cranial ultrasound markers.脊柱裂的早期诊断:头颅超声标志物的价值
Obstet Gynecol. 1990 Jul;76(1):54-7.
8
[Unusual course of alpha-fetoprotein levels in a case of spina bifida detected by prenatal diagnosis].
J Genet Hum. 1983 Jun;31(2):115-23.
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[Prenatal echographic diagnosis of spina bifida].
Neurochirurgie. 1988;34 Suppl 1:35-9.
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Ultrasound screening for spina bifida: cranial and cerebellar signs in a high-risk population.脊柱裂的超声筛查:高危人群中的颅骨和小脑征象
Obstet Gynecol. 1987 Aug;70(2):247-50.

引用本文的文献

1
The fetal spine.胎儿脊柱。
Neuroradiology. 1986;28(5-6):398-407. doi: 10.1007/BF00344095.